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Claims Adjuster – Automobile - Jobs in Waterloo region

Ontario Teachers Insurance Plan
Job LocationWaterloo region
EducationNot Mentioned
SalaryNot Mentioned
IndustryNot Mentioned
Functional AreaNot Mentioned
Job TypeContract

Job Description

Job DescriptionWhat You’ll Do:Reporting to the Manager, National Claims, you’ll be responsible for serving the members through the investigation and settlement of minor to moderate automobile claims. This includes establishing prompt relationships with insured members, detailed investigation of coverage, liability and quantum ensuring fiduciary, regulatory and contractual compliance, and adhering to organization service standards, operational targets and core competencies.The core parts of your role will be to:

  • Delivers a superior customer experience which includes responding to all general inquires, initiating and maintain contact with insured members, and assists with commodity claims overflow.
  • Responsible for confirming coverage for incoming claims by reviewing and compiling facts, obtaining technical reports from various parties as required, completing contractual auto coverage analysis and assessing quantum, reviewing subrogation opportunities, negotiating and resolving automobile insurance claims of minor to moderate nature in a timely manner.
  • Coordinates, directs and follows up on work activities performed by outside service providers to completion.
  • Responsible to ensure all correspondence is completed in a time efficient/effective manner including the creation of Critical Path, Proof of Loss, waivers and reservation rights letters.
  • Gathers information from insured members, civil authorities, police, witnesses and other insurers to complete a timely investigation of the motor vehicle accident.
  • Maintains quality service and adheres to organizational standards to deal with all aspects of file handling including reserving, expense and loss control, questionable claims, and creating defined disposition plans for future handling leading to file closure.
  • Assists and participates in all dispute forums related to policy coverage on behalf of key stakeholders. Provides support and assembles documentation on items in dispute along with resolution recommendations.
  • Keeps claims information confidential to protect operations and insured members.
  • Responsible for data integrity, issuance of payments to vendors, insureds and experts and to maintain well-organized claim file while ensuring accuracy of data input.
  • Adheres to partner #39;s guidelines, contracts, and insurance regulations to ensure legal and regulatory compliance.
  • Actively participates in coaching and training sessions and collaborate with team members and management.
  • Takes an active role in creating an environment of continuous improvement of work efficiencies and highlight value work.

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Claims Adjuster – Automobile Related Jobs

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